Individual
PETER ISAAC KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
17375 E ADRIATIC DR APT N102, AURORA, CO 80013-4138
(303) 898-0325
Mailing address
17375 E ADRIATIC DR APT N102, AURORA, CO 80013-4138
(303) 898-0325
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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